SIGAP NIFAS-NEO: Family Empowerment For Postpartum Safety

Main Article Content

RENNY TRIWIJAYANTI
Kleyo Ulandari
Sania Mirza

Abstract

The postpartum and neonatal periods are critical transition periods requiring continuous monitoring after mothers and newborns return home. The SIGAP NIFAS-NEO program (Family Preparedness for the Postpartum and Neonatal Period) was developed as a family empowerment intervention based on discharge planning to strengthen families’ ability to recognize danger signs and determine appropriate initial actions. This community service activity aimed to improve the knowledge and preparedness of postpartum women and families in recognizing maternal and newborn danger signs. The activity was conducted at Posyandu Delima in the working area of Nagaswidak Community Health Center, Palembang City, in 2026, involving 26 postpartum women. The implementation consisted of coordination and permission, preparation of educational media and instruments, community education through interactive health education, discussion, demonstration and simulation, followed by evaluation using pre-test and post-test. The intervention used the SIGAP NIFAS-NEO booklet, Family SIGAP Checklist, leaflets, and rapid-action guidance. Mean knowledge increased from 62.4 before education to 85.3 after the activity, representing an absolute increase of 22.9 points or approximately 36.7% from baseline. Because only group mean scores were available without individual-level data or inferential testing, the findings were interpreted descriptively. The activity indicates that integrating structured education, visual media, checklists and simulation can provide a practical approach to strengthen family preparedness for monitoring mothers and newborns after discharge. The program may serve as a family empowerment model that can be integrated into primary health care and postpartum-neonatal continuity of care.


 

Article Details

How to Cite
1.
TRIWIJAYANTI R, Ulandari K, Mirza S. SIGAP NIFAS-NEO: Family Empowerment For Postpartum Safety. khidmah [Internet]. 2026Nov.9 [cited 2026Nov.9];8(2):295-06. Available from: https://khidmah.ikestmp.ac.id/index.php/khidmah/article/view/635
Section
Articles

References

Agustia, N., Elliana, D. & Rumpiati, R., 2024, ‘Effectiveness of empowering postpartum mothers to maintain exclusive breastfeeding with lactation management booklet media’, International journal of health sciences, 8(S1), 560–568.
De Los Reyes, S., Al-Khaled, D., Brito, K., Kholmatov, M., Farley, B., Kuriloff, M., Stamos, G., Victorson, D. & Plunkett, B., 2022, ‘AWHONN postpartum discharge education: patient knowledge and sustainability’, BMJ Open Quality, 11(4), e001528.
Dey, T., Bassiony, N., Hancock, A., Benova, L., Mathai, M., Langlois, E.V., Ononge, S., Lavender, T. & Weeks, A., 2025, ‘Critical signs and symptoms for self-assessment in the immediate postnatal period: an international Systematic Scoping Review and Delphi consensus study’, BMC Pregnancy and Childbirth, 25(1), 364.
Dol, J., Hughes, B., Bonet, M., Dorey, R., Dorling, J. & Grant, A., 2022, ‘Timing of maternal mortality and severe morbidity during the postpartum period: a systematic review’, National Liberary of Medicine, 1(20).
El Ayadi, A.M., Diamond-Smith, N.G., Duggal, M., Singh, P., Sharma, P., Kaur, J., Gopalakrishnan, L., Gill, N., Verma, G.S., Ahuja, A., Kumar, V., Weil, L. & Bagga, R., 2025, ‘Preliminary impact of an mHealth education and social support intervention on maternal health knowledge and outcomes among postpartum mothers in Punjab, India’, BMC Pregnancy and Childbirth, 25(1), 239.
Huang, Q., Peng, A., Cui, Z., Huang, Z., Duan, D., Cao, X., Cui, Y. & Huang, L., 2026, ‘Effectiveness of discharge planning interventions on health-related outcomes among postpartum women: a systematic review and meta-analysis’, Frontiers in Public Health, 14, 1733799.
Indrayani, E.I., Indriyastuti, H.I. & Julianti, I.F., 2024, ‘THE IMPLEMANTATION OF FAMILY CENTERED MATERNITY CARE EDUCATION TO POSTPARTUM MOTHERS AT PMB SITI ISTI’ANATUL AMRIYAH’, JOURNAL OF SEXUAL AND REPRODUCTIVE HEALTH SCIENCES, 3(1).
Johnston, J.S., Suri, P., Yan, S., Chandrasekar, A., Singla, S., Ward, V. & Murthy, S., 2025, ‘A mobile messaging service for families on postnatal knowledge and practices: a cluster randomized trial, India’, Bulletin of the World Health Organization, 103(4), 255–265.
Kamau, I.W., Keraka, M.N. & Gitonga, E., 2024, ‘Effect of post-discharge postnatal educational intervention on postnatal practices among low-income primiparas in Nairobi informal settlements, Kenya: a post-test quasi-experiment’, The Pan African Medical Journal, 48.
Landry, I., René, C. & Demontigny, F., 2023, ‘Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review’, Nursing Open, 10(9), 5937–5949.
McCarter, D., Law, A.A., Cabullo, H. & Pinto, K., 2022, ‘Scoping Review of Postpartum Discharge Education Provided by Nurses’, Journal of Obstetric, Gynecologic & Neonatal Nursing, 51(4), 377–387.
Olakkengil, M., Said, S., Abdalla, O., Hofmann, R., Hedt-Gauthier, B. & Fulcher, I., 2024, ‘Are populations of postpartum women differentially served by community health worker programs: an observational cohort study from Zanzibar, Tanzania’, BMC Pregnancy and Childbirth, 24(1), 183.
Oni, O.O., Bello, O.O. & Ajayi, A.-O.A., 2025, ‘Determinants of adequate knowledge of postpartum warning signs and complications among parturients in Ibadan, Nigeria: a cross sectional study’, BMC Pregnancy and Childbirth, 25(1), 894.
Rammohan, A., Goli, S. & Chu, H., 2024, ‘Continuum of care in maternal and child health in Indonesia’, Primary Health Care Research & Development, 25, e17.
Tiryaki, Ö., Çınar, N. & Caner, İ., 2024, ‘The effect of family integrated care on preparing parents with premature infants hospitalized in the neonatal intensive care unit for discharge’, Journal of Perinatology, 44(7), 1014–1021.
Wahyuni, C., 2024, ‘Efforts to Improve Postpartum Maternal Behavior through Family-Centered Maternity Care (FCMC) about Postpartum Care Education’, Journal of Community Engagement in Health, 7(2), 238–243.
WHO, 2022, WHO Recommendations on Maternal and Newborn Care for a Positive Postnatal Experience, 1st ed, World Health Organization, Geneva.
WHO, 2023, Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division.
WHO, 2025, WHO recommendations on maternal health guidelines approved by the WHO Guidelines Review Committee second edition.
Yulianita, H., Sugiharto, F., Nur Pratiwi, R.D., Mutaqin, S.F., Dewi, A.K. & Intan Maria, D.F., 2022, ‘Pelaksanaan Discharge Planning Pada Pasien Postpartum: A Narrative Review’, Jurnal Keperawatan Muhammadiyah, 7(4).